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Geographic tongue

Geographic tongue

Tongue
Tongue

Definition:

Geographic tongue is a map-like appearance of your tongue due to irregular patches on its surface.

Alternative Names:
Patches on the tongue; Tongue - patchy; Benign migratory glossitis; Glossitis - benign migratory
Causes, incidence, and risk factors:

The specific cause of geographic tongue is unknown, although vitamin B deficiency may be involved. Other causes may include irritation from hot or spicy foods, or alcohol. The condition appears to be less common in those who smoke.

The pattern on the surface of the tongue may change very rapidly. This pattern changes occur when there is a loss of the tiny finger-like projections, called papillae, on the tongue's surface. This makes areas of the tongue flat. These areas are said to be "denuded." Denuded areas may persist for more than a month.

Symptoms:
  • Map-like appearance to the surface of the tongue
  • Smooth, beefy red patches and lesions on the tongue
  • Patches that change location from day to day
  • Soreness and burning pain (in some cases)
Signs and tests:

Your doctor will usually diagnose this condition based on an examination of your tongue. Tests are usually not necessary.


Review Date: 2/12/2007
Reviewed By: Alden J. Pearl, M.D., Clinical Assistant Professor, Department of Otolaryngology, State University of New York Health Science Center at Brooklyn, Brooklyn, NY. Review provided by VeriMed Healthcare Network.

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